1564 Ashbury Ct. CITY OF EAGAN
3830 Pilot Kno6 Road, P.O. Box 21 •199
PH ON E: 454-8100
BUILDING PERMIT
To be used for SF DWG/GAR Est. Value $62 , 000
N_ 13858
Eagan, MN 55121
Receipt# ?] J ?Q-1;)
Date 1liLY 1 1987
SiteAddress 1564 ASHBURY CT
Lot lZ Block 2 Sec/Suh. BLACKHAWK GLEN 2N.
Parcel No. _
a Name KEYLAND HOMES
z Address 14450 BURNSVILLE PKWY
? City B' VILLE phone 894-2636
a
.o
Name
SAME
?Q Address
: City Phone
a
w
G
_
w
Name
Address
Clty_
I here6y acknowledge that I have read this application and state
thettheinformationiscortectan*greetocomplywQ'hallapplica6le
State of Minnesota Statutes,gaadCity,aFEagaryO#linances.
Signature of Permittedd....y
A Building Permit is issued to: KEI
all work shall be done in accordance with
Building Official
OFFICE USE ONLY
R3
On Site Sewage Occupency
MWCC System ? Zoning Rl
OnSiteWell TypeofConst lr
City Water X (qctual) v_
(Allowable)
# of Stories
Length ??
Depth 49
S.F. Total
Footprint S.F.
APPROVALS FEES
s 370.50
Assessments _ Permit
Water/Sewer _ Surcharge 31.00
POIiCe - Plan Review 185.25
Fire 3AG City 100
Engc _ SAC,MWCC 5 $.DO
Plenner _ WaterConn. 525.00
Council _ WaferMeter 67.00
BIdg.Off. RoadUnit ?
00
APC _ TreatmentPi 180.00
Variance _ Parks
Copies
??813-7 5
707AL
on the express condition that
Minnesota Statutes and City of Eagan Ordinances.
_ // ? n
ihis request void q p
IS nWntI15 fIOT U/?p 7
D 4 7.21 /_ /,v.
Of).nrj 14V )b?.
Heqvest Uate
yp
8 - '
I Frte No. Roug Insper,Unn
He ir ??
u
?ReaAy Now ili Novty Insoec-
tor Wh
J es ?NO en fteatl
? ?
(1Kncen>etl Elec[ncal Contractor
?Owner x 57n/_/
Sveec AtlAress, Box or Rwre o. (:ity TA
,? BG?e ' L.-d- ??fF
ecum? o. TownshiO Name or No. AanBe No. County
?
OccupaM (PflINT) Phon? No.
? ?R?sD !-{o
Power $up0l?er Atldress
o- aec' ssec. ' 1 ?
Elec[ncal ConIra or ICOmDany Namel Co 1mr.lor"s License No.
? - G o s a-S
ailing AdJress (COnVac r ot Owner Making Ins ila[ionl
?L PLE - s?'.Sl 2
A hor¢ed gnature (Convacl r Own MakinB ?nstaliaLnnl Phone Numbe.r
?f-C.IC Y.
1 heraby ?aquas inspaciion oi?bova
electrical work installed aL ?
MINNESOTA STATE BOAFD y( ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mudwey Bldg. - Roo1f N-191 BE ACCEPTED BY THE STqTE BOAflD
1821 Univeraitr Ave.. St. Vaul, MN 55100 UNLESS PPOPER INSPECTION FEE IS
Phone1672) 642-0800 ENCIOSED.
$// ?/47 REQUEST FOR ELECTRICAL INSPECTION . ?Esf-ooooi/-oa
? , See mstractions for compleLng this fmm on back of yellow copy. y
? -47 2 1-"'K" Below Work Covered by 7his Request
Nev% jAddj ReP. TyOe ot Bmltlmg ADVhnncea WveA Eqmuniant WireA
Home Range rvice
Duplex Water Heater tures
ApL Bwldmc? Dryer =Electric
tin
Commeral Bldg. Fumace r
intlu5tnal Bidg. Air Co nditioner nk
F2rm Otnp, Pei.i Y vl
W
N Fee ServicaEntrenceS¢e X Fae Fevdees/5ubfeetlers N Fee Circurts
??QJ U to 200 qm s 0 to 30 qm s 10 2'2. 0 m 30 Am s
Above 200 qm?s 31 to 700 Amps pQ 31 to 100 A s
Swmttning Pool Above 100_Amps ? Above 100_Amps
Transiormers Irrigation Boonts Partial?Other Fee
signs ' Special inspection $ ?. ? TOTAL SU TRerryrks
Ro.eh..o r .1p?- Ela?
I or, heroby
certif
th
t th
b
Fmel
A?
? y
a
e a
ove
pection has been
.?/.? /-?o•b ?da.
fhis reqveat voltl 18 montha Irom H?
. ,
,` ° .. -;
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for ' Est. Value Date ,19
Site Address ' '' ~ ? ? iiuliY C'f
Lot Block Sec/Sub. 2N
Parcel
m Name
W
z Address . `'?'?, r
3
° Ciry . Phone
a
.o Name
? ? Address
?¢- City Phone
Phone
On site sewage _
MWCC 5ystem _
On Site well _
City Water _
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
Occupancy
Zoning
Type of Const
(Actuaq
(Allowable)
* of Stories
Lengih
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plen Revlew
SAC, Ciry
SAC, MWCC
Water Conn.
Water Meter
,
?
?
?--
t.l
;J
,i
I hereby acknowledge that I have read this application and state Bidg. Off. _ Road Unit
thattheintormationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Perks
, Copies
Signature of Permittee TOTAL
A 8uilding Permit is issued to: on the express condition that
all work shall be done in accordance with all appliceble 5tate of Minnesota Statutes and City of Eagan Ordinancea
Building Official
Pormit No. Permit Holder Deta Tslephone ?
Plumbing
H.V.AG .
- -rL i
??.
' ?
Electric c?rA/9 SO
Sottener
Inspection Date Insp. Commenb
Footings I
Footings II
Foundation
Framing
Roofing oft
Rough Plbg.
Rough Htg. N wr vC- • s ?iL?^ PO
isui. tr-t-r7
Fireplace
F11181 H19. r Q ? Grg ? -??
Final Plbg. _ ? • " 0_?+,.
Bldg. Final
Cert Occ. a
Temp. LP
Deck Ftg.
Deck Frmg.
well
Pr. Disp.
CONTRACT PRICE:
City
? '4a"nc - -
? 3 Address
0 City c ? Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONQO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.40
MINIMUM - COMM/INQ FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYONO $1,000.00) i.: _
SIGNATURE OF PEAMITTEE
FOR; CITY OF EAGAN
/ Lavatory - $3.00
? Shower - $3.00
/_Ki?chen Sink - $3.00 3- G &
Urinal/Bidet - $3.00
_LLaundry Tray - $3.00
? • ? ?
Floor Drains - $1.50
Water Heater - $1.50 L'
?
Whirtpool - $3.00
/-Gas Piping Outlets - $1.50
(MINIMlJM - 1 PER PERMM
Softener - $5.00
Well - $10.00
- Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRANO TOTAL• ""- ? -
r
...?......,,.....,? r-.. RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE _
I Site Address
BLDG.TYPE
Res. _?-
Mult
y Name
? Addre:
c Ciry _
Name Wo-?
` c Address 144
i o city b.,rh,4,.
PE OF WORK
'ced Air 2-5- M BTU
ler M BTU
t Heater M BTU
Cond. M BTU
rt CFM
s Piping Outlets #
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
?. HVAC 0-100 M BTU - $24.00
)ITIONAL 50 M BTU
HVAC INCLUDES A/C ON NEW
3 - 6.00
.
JSTRUCTION)
i OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
VIM/IND FEE - 1% OF CONTRACT FEE
: BLDGS. - COMM. RATE APPLIES
VNHOUSE 8 CONDOS - RES. RATE APPLIES
IMUM RESIDENT?AL FEE - ALL ADD-ON &
REMODELS - 12.00
IMUM COMMERCIAL FEE - 20.00
TE SURCHARGE PER PERMIT - .50
FEE ' Y'U?
S/C: ' 1 U SIGNATUFE OF
. eo
TOTAL•
FOR: CITY OF EAGAN
r y
(Ltx#if trtttt of (IDrrupatcry
titp ot (tagan
Dppal"bitPri# Af Indbiltg Jmpptt[Ott
Thts Certifccate issued pursuant to the requiiements of Section 306 of the Uniform Building
Code cernfying lhat at the 1ime of issuance this structure was in compliance with !he various
ordinances ojthe Cfty regulating building conslruction or use. For the following.•
use a.sMc.rkm ;? I7WG/??.-,??' eiae. ttnuit No. 1385-'?
oa„P--y Tra F3 zon;ng nuutc, rya cwm 4
OwnerofHuildio6 ?••?'S'?'y*T -'•'??i' e?-r- ' _
- Addnye
Baildliug Addtm Lfity ; . _
Date: STIEtM
BuOding Offiail
POST IN A CONSPICUOUS PIACE
' ljss&??
1987 HUILDING PEIIMIY APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
ZNCLi1DE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCO[.ATIOH3
NOTE: ADDRESSES FOR CORNER LOTS - CONTAACTOR/HOMEOWNER MDST DESIGNATE WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PEAMIT IS ISSIIED.
H(JLTIPLE DiiELLINGS - RFSIDENTZAL RENTAL ONIT3 FOR S3LE DmfIRS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhRERCI9L
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used
Site Address 7 r S c-'T
Lot Z-X Black -Q.
Owner
Address v/Y-(le.
On Site Sewage`
MWCC System ?
On Site Well
City Water ?
?
City/Zip Code
Phone p APPROVALS
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address p
City/Zip Co ?
Phone ll O- .3 / /O ! S
& STRUCTURAL PLANS,
SET OF
&z??
tion:?: Date:
Assessments •
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg OfF
APC
Variance
Occupancy P, 3
2oning K l
Type of Const ?
(Aetual)
(Allowable)
Ik of Stories
Length ?
Depth
S.F. Total
Footprint S.F.
FEES
Permit -]0J"-0
Surcharge 31.
Plan Review ? 8S, zi
SAC, City (oO
snc, riwcc S2- 5
Water Conn SZS.
Water Meter (67.
Road Unit 3QS
Treatment PI ( F>O.
Parks
Copies
TOT9L ? S'
.
-3i6
?O x' -L
,c
x -1?cl,3?-
?C
(?-,? ( 3 s- 2
•SURVEYOR'S; CERTIFICATE
.:.
. REVISED 6-4-87 TO SH04J
A PROPOSED HOUSE FOR
KEYLAND HOh1ES.
SIENNA CORPORATION .
,
-+-- DENOTES-PROPOSED SURFACE DRAINAGE SCALEt 1 INCH ¦ 30 FEET
O,DENOTES IRON MONUMENT $ET pRppOSED GARAGE FLODR a S4SS.3 FEET
O DENOTES IRON MONUMENT FOUHp. , pqppOSEb LOWEST FLOOR -?sy 5, < FEET
X?00.0 DENOTES EXISTINf ElE4ATI0N
(000.0) DEt10TE5 PROPOSED ELEVATION pROP05ED TOP OF BLOCK - (6'N 4s" FEET
7HAT THIS IS A TRUE AND CORRECT
' ION i 0F A SURVEY OF THE BOUNDARIES OF;
REPRESENTA7
Lat 12, Block 2 BLACKHAWK GLEN PND ADDITION, according to the recorded plat
WILL BECOME
BLACKIAWKSGLENA 2ND DESCRIPTION
VAL1D U{?ONB FIL,ING oOFt7HE Minnesota.
• ME OREUNDER MYRDIRECT SUPERVIS30NVTHIST30?R DAYROFCDECE+BERIF AN19 86AS SUR4EYED DY
APPROVED FOR SIENNA SIGNED: JAM H LL, INC.
CORPORAT)ON
BY: UY: ?
DATED THIS DAY OF • HAROLp C. PE7ERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
19_ SHEE7 I OF 2 SHEE7S
PflOJECT N0. BOOK / PAGE ' JAMES R. HILL, (NC.
856(8 (87340) planners / Engineers / Surveyors
FILE NO. 8200 HumboFdt Avenue 6oulh
FOLDER BbominHton, Mn. 65431 812-894-3029
, ., . .
.
SUR,VEYOR'S CERTIFICATE
N
`
? I^
? N.
0(".
. - $ ?20 ?
?
. ? ?o0 48 4p„E
a
?
- , ? vo?:. ,,.or 6
0
?O
`/
1 ?
2QO?\`
N N . ? q e-0!i°J ?
cr \ io4 ?°? /
c ? ti 36 _??yo
?--
? J
? J
\ ?\
?
SIENNA CORPORATION
1/ \
V ORAINAGE B UT/L/Ty
E'r1SEMENT P£q p"r
10
/
l V
? LOT 12
? I
\ I
\ I
,Y; \ I
J10
`J \
0
!
k58•84 1
80° 2214111 W
l Jf (?i?4 U?
I
1"{??? ?L??iil
REVISEG 6-4-87 TO SHO'rl
A PROPOSED HOUSE FOR
KEYLAfJD HOMES.
AROJECT NO. 8
8561e (87340)
FILE NO.
FOLDER
SHEEi 2 OF 2 SHEETS
? P"GE JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenu• South
Bbominston, Mn. 55431 E12-984-3020
. uy, a . . ?
? EXTERiOR ENV[LOPE AVfRAfF "U" COMP11TA7i0N
,
OWNER• {:?L-Aup nnTr:-----
SITE ADDRESS:
CONTRACTOR
PfIONE:
33 S ;7
Determine working square foota9e of each '
1. Total exposed wall area..... sq. Ft. x.11_=
2. Total roof/celliny area..... "1-1a sy. ft. x.026
Total exposed wall area above floor= ?L,,7.2
a. Total wall window area ........................................... 1'?X(_
b. Total door area .... . ...........................................
c. Total sliding glass door area .................................... -?I
d. Total fireplace wall area ........................................ --
e. Total wall framing area (average 10N) ............................ 105(
f. Total rim Joist area ............................................. ?1:51 Le ?
g. net wall area above floor .....................................
h. wall area above floor .....................................
i. wall area above floor .....................................
J. frame wall area at foundation ...................................
r
Total exposed foundation area=_
k. Total foundation window area ....................... ~
1. Total net foundation area above grade .............. 7c>?
Oetermine "u" value of each wall segment
(e.g. w9ndow, door, eacfi separate wall section)
a. Ij:?> I x .. U.,_ =ZA. ?
b. X ,.?„
.,
c. -?I X %„ t .19
d, z llul.
?
- ---•-
e. X liul.
f. 1-I4Xiou„
9. ?32?v , r.. X1. u 11 i
h. X "U" _
i. X ,lull _
J x „u„ --
k. x 'lull _
I . 74J1 r';:p X ??u" 1?-1 = "tt "j
3 . .................................Total Lsr
?
? - T'+` - -- - - - ......._,,....Y. ---•--•
,.
'A
v .
:
r?
i
?.
?..
,
,,.
F.
• i
?
• #:
..'Y.
If item d3 is the san
as, or less than iten
N1, you havg met the:
intent of SBC 6006 (i
a
; :•?'•??
E::torior ]invelope 7lverage "U" ComputaLioii Paqe 2 of 9
?
Total expo3ed root/cciling area = 7aJ
m. 7bta1 skyli.yht area ............................
n. Total roof/cciling framing area (nverarfe 100)... -1`7
o. Total net insulated roof/ccilinq urea........... rr9 '7r:,
Determine "U" valuc for eacli roof/cciling segment
M. X "Ul. `-
n. ?'7 x l.u., IG-'<'J .l_ ° ?? ly
o. ?-75 x ?.ti,f I/
?
?
9 ........:.................. 1bta1
If total of #4 is the same as, or less t:han N2, you have met the int•ent of
SxC 60U5 (c) 1.
Alternate Buildinq Enve).ope Desiqn_
7b utilize the total envelope systcm method, the values established by the s•.un of "
i.tems $3 aiid #4 shall not be greater than the sum of items i{1 and #2•
1. -F 2.
3. _?`-1c?11n + 4- A"J.? = c?a (d? "`1 0
4 ?
a
?.
?
w,g LL, ,4R.EA
0 L i msAL FT, .ExposE D WA L, L_
,
?
W ? O ? 1
;:U L ` ? ' ? ?'cJ• J ?1-- .J•I _+-
F V lr l.. Z'?---
?t RP.EPI.AGE ; -
ee/f'
. .t_ I I ? ? 'f` `i 'i- C? ''''' {- (.? -}-. ?L.F •t- J <? T ??[.? . ??
J
M SkPoSeD
r3Loc.K. ', «i x , s =
EE 1C 5 =
?vL L I ', <<<?. ?
FuLL 2 - --
F.p, ', . ?
^ yr"?i :?
Y
X g
-
4 1 = m C,,, ?
PLAkl A:
.,
To -tA L
?Kp oSE-D
? w DWrS v
-2 ?
1 , , .. .
--?--
GEI LlUC{
? Dooe.s ?
??.
? ?ATIO DRS ,
Z,` 3 - f ?, 143
? BSM? Uu++s
.?----•
A
6
r. •
aInt.a I:;rr.T.oNs
'E; llrr ?i, ot'aqu^ wa11 aYCn [or
"
r.uurfrucl Jun
%. 13
111 v•?,?I.___
o ?
!'.up, •:\:n
('Oll::t[I1C1 in11 I:-V.llll.:
?. 3?? im:hc•: :.,fr. ,.,,?,?I . ?
6. t:r.l.urivr slr fi;?n
-- --... .. - -- ---'---- > 0.17
--.. _._. ._
---- --
'ro l? i 1 l'Z, Z7
u= .0a
INSuU•
1. rntrrlnr air
. ? 1 1111 0.611
._ _?_-------
?. ..._ .. _
_. _.._.
yy?_?z._YP.._ . . .
?P• . ---•
----....- -----.__??S
6.
t3 = os
M
R?
?. ,,??
;,
:.
3.
a _2?tb-?---•-? --- ----r._ ..._
fs??? 1.89
G-9°
. .__. --
6. }:xcrrior nir i i Im _
-------- -- __ 0. 1!
?--
,Co C ri t 'LZ , 3fi
v=.o9
L V
'
-
?
2 . •'' 11 ^ -s ..r??.?s.-? . . _.... . _ ...... . ..?.1 ?
L22
• ?• ....___ ___.._....----___. .._ ...._...--
s. ----------? ------.__.. _..-----?_
'---• _--'•• -
- - -
?p
' u
r? ?;ivwe
- - -?-- - - - - -•-•-._ _. . - -- -- --? .... ?
I ? • ? • ? 4
? `
?
?
????A?f'. lii '? . •
, '? •
?
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t
? ..
.
? 1l1--- _
? 'z;.`-
f
. •
?'( v r
?
?
jl
? d •
?
l :.
??? '` . ?, • ? ' ? ?n ' .
FIG. 114 irt
.
. ..
...
_
. r '
I
.
f
I
?
l!( _-
un'Ct: IndL?:nt.c L.y?,c, ":t" val uu, depCh nnd
placenent of in::ulaCion. .`..---
•, n
,y ?
I1111?????
VEZIT???
inted
. 1
. '
?keat tloa uP • • , ?, j•vented ?
. ? • TIG. i6: . . . ' '•. . . .
oe
-: . .. . . 1 V 1 O , I u' ' v
?
.
v ? v
' ?..?? . • ,
• 50:1-VII.1ZD ? ? ? .
?? ? • • • .
. 1fGet . .
flov up . • ?
AIG. 07 ?, • ? . ?'
1 ? 7 i i?? 7 1 ,.
--t?? `??
Hcat floa . . uP
FIG. 93 , .
Const? on , R-Valuc ?
. ' .. ?
Intcrior air ftlm .0.61 ?
s. ??? ?3P • • . :sR
s. ,I,uSuL_ • 44.'
4. Extcri.or air filn (still 0. 61
- Rbta.,. tz. `45go . i
. - •, ? • ' V = . ?'t7? ' • . . . . • ' . ,,
Fti??r ? • . ' , .
1. Intorior air Pilm 0.61
s.
3. 1 SuL 38, 3s '. 4. IixLerin: ? ir Piln (sr.i ;
ITota1 2 . 1S
. . .. . u =.oz4v ;
. . . . :;
coA.vrR.'vcri os` • •' „ •
7. Snside air filin 0.61 ;
4. ' . '
5, Out.idc air, filin d• '
- Total
1. Ynside air filin 0:61
j
2. . .
3.
a.
Outside air filin ?
0.17
? SOtaI
?
1. . .
Inside- air filrn . . • •
' _
' ' I
0.61 i
. i
2. • . ,
3. ' -
4
'
5,
ptiitsidc nir filin 0 17
. :
? Tota1
. ? . •, . .
. .. ' ,
?
• •!
. .
. , • .
• I
. tt
o tos Uso additianal sheets i .
f more spaco
_ r
'lseecled for Jetails and calculations. ;
• •
. •
• ,
• !
.
' ;
.
. .
• .
,
......
? °
.......
-• ... ... _ ..,. .. .
CITY OF E/RGAN Permit No: 8932 oate: 8-6-87
3830 Pilot Knob Road Meter No: Size:
P.O. 6rox 21199 Reader No: Date:
Eagan, MN 55121
n..,.,e.. ='-eyla.i ` iomea
SiteAddress: 1564 AQbbn ".Ct L}g s;q x;4:ft-+-^q
Plumber r ^ xecbmn t c.l
Conn. Chg: 525 QQ Zoning:
Acct. Dep: u nn No. of Units: ?
Permit Fee: nn
Surcharge: ?50- 1 agree to comply with the City of Eagan
Tr. Plant ?n nn Ordinances.
Meter. --
: Misc.: - BY
? WATER SERVICE PERMIT
--- - - -- --
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pgdl Knob Road
P.0.,7ox 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: 'P 1 No. of Units: ?
' Owner. LeyZal1d ';ones
Address:
Site Address• 1564 AshbLrv ['t .1 ?? 't t ar 1-ha wk r.7 P„ 7 r
Plumber. T Sg' 'wQChantcAl
BPR4 75222 #iit 7. ?_S7 100.00
? 1 agree to compty with ihe Ctty o1 Eagan Connection Charge: 525.00
Account Deposit: }--r? , ^.-
Permit Fee: } =.? . "19
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
r
F NOTF: PAYMF,NP OF FM AT TIlE pF
? APPLICATIoN DOEs Nnr aUezTUTE
? APPRCTVAL OF PERIIIT.
` nv.srnc.'1zoN oF sEVit r,rm/UR waTER
t IPSmg,=ONS v7aS. IJOT BE SQm--
: [n.ID cnrrII. PERMIT H+s Bmv
P,rrx(vFn.
1) PROPERTY ADDRESS: C-?4,41 C - f •-
LEGAL DESCRIPTION: r,?u`? '
kLOL/Cl0CK/JllDQ1V1S10R or Tax Parcel ID #)
IF EXISTING 51RLv-MME, DATE OF ORIGINAL BUILDING PERMiT ISSL'ANCE: '
FRESENP ZANING/PROPOSID LSE: Nbn ear
Q CONPJERCIAL/RETAIL/OFFICE R-'1 SINGLE FAMILY
0 ZNDt'STRIAL ? R-2 DDPLEX (ZWo Lfiits)
? INSTIZS)TIONAL/GOVIIRNAENT ? R-3 ZCJWMOLISE (Three + Units) ( Units)
. Q R-4 APARTMENT/COAIDOMINI[,T1 ( Units)
i
2) ? '?*?
•YLY'lGi
ADDRESS:
CITY, STATE, 2IP:
PHONE:
3) ' Ic ?• NAP9F':
AMxFSS:
CITY, STATE, ZIP:
PHONE:
4)
NAME:
_ ADDRFSS:
CITY, STATE, ZIP:
PHONE:
.5)
.G ?/ . ?/ Cy ?/J? 1 Q
. 4L274<
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t ? ' ? ? MASTII2 LICENSE#
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Active
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Not recorded
Sta?'tial
CONNE(.'TION T0 CITY SEME2 Q/ CONNECTZON 'PO CITY WATER [] OTHER
6) ° • ??" Q E HOID APPROVID PEEtPIIT FOR PICK-L?P BY ONE OF ABCIVE
[/PJ?T,FASJF MAIL APPROVM P T TD 1? 3, 4, AHOVE
/ / ?/ , (Cxfcle one)
FOR CITY USE ONLY
PERMIT # ISSUED ,
Pd w/Bldg. Permit FEES: "
$ $ SEWER PERMIT (INCLUDE SDRCHARGE)
$ $ WATER PERMIT (INCLUDE SDRCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$
/.?
ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
a c?
$
$
WAC
$ l
?? ?v $ S
C
o A
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
Gk Z?
$
$
WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
TOTAL
RECEIPT RECEIPT
DOES DTILITY CONNEC TION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST
.
AS A COIVDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: Q'/ 7 (J /X 7
° i i
? CASH RELEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
PATE y 19 ?
RlC6IVED
FROM •
AMOUNT $ I
& DOLLARS
?oo
? CASH ¢ CHECK
f-
rON
? .
RUND CODE AMOUNT
Thank You
BY
White-Payers CoRY
Yellow-Posting Copy
Pink-File Copy
? CASH RECEIPT ?
? CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
wee?rvm f .
rwaM
AMOUNT $ I
v
d DOLLARi
+e•
? CASN ? CHECK
?OR i ' '_'."___ l . ' .. ' . ? - . .
? J
hank You
BY
White-PaYers CoPY
Yellow-Postinq Copy
Pin k-File Copy
.?
BLDG. PERMIT N0. ?
0I-3210 /Bldg. Permi
01-3422 Plan Check
01-344`5? Surch./Adm.
?
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 5ewer Permi
79-3866 5ewer Conn.
11-3855 Park Ded.
-r
TOTAL
i3 g6o
. 1.? f ?093? _. ?7O _Sl?y$?l ?. ?,, ?i?? r ??- ? ?!?'_?
? ??
SUILDING AND INSpECTION DIVISIOfV DPARTMENT OF
HEA'? LDSS CALCULATIONS OAD,JBLOOMINGTON MINTfs S2215 OTA 55 30LD SHBB SB11
61°°-nI
? Weathtntrips GUide Conttruction No. INSULATION
, 11Vindows Doors Refuecee Out. Wall Int. WaEl Ceiling Roof Pioor Kind Hor? Applied
Yes-No -19-
14 .? 14? Pp " E.eegth Width 41-!s Height ? r`Fl.i ?:° c a r,+n, Room Leagth /L Widt6 HeiBht
Windown and Doora-Crackage and Aroa Windown aad Doon--Crackage and Area
No. Wfeth
o[ Daee Height
of pane No. of
11sht@ Llneal tt.
of erack Ana
sq. [l.
a 1 ? g
I ? 670 / r 4 Coef. Btu
In5ltration '' + p
C,lan
Fxp. wal! t 7t F1 fa +-(o
Net eYp. waU .ZSB, 3 ? / A D9
? 4et"vlit ; .250
. Ceifin6 l - /1-!o S?-
?l601'-
XO. wiatn
Ot DaTe a.fgrc
OL yaae Iio. of
Ilghts sda.altl.
OI eraek wr.a
p. tt.
L/ cl ? 7 / 8',
? Coef. Btn
Infiltration .?p, 7 0? q 5 q
Gtass 0 9i6-
Ezp. wall p-L x 8y 8
Net esn. wall
? "' /4•:? (o
Ceil;ng
?
Total &u. Total Btu. i 3
Required sq. ft. E.D.R. or sq. in:. W.A. Leader arca Requircd sq. h. E.D.R. or p. ios. WA. Leader area
,?s?'Fl.? ?,?1 Rooa? L.et?th '"W?dth 9 i-Ietght d rr' Fl.{ /)') A3 4.eoe Eioem 11.esgt6 /N-li Vidth //' G NaSht
' dows nd Doore--C ka d Are
I n a rac ge an a
No. wtiaie
o[ yane •isst
O[ pan• Dro. et
1l?6La Ltn.at tc.
04 craclc wr.a
sQ. h.
JY';7
> S6p Q N ''
Caef. &u
lnmtration S3 ?a ?9
ca&,. so a99D
F.xp. wvaU 9 ?- - r?5t
Net e:p. wal( bS 1/S$+
-Int-t?1r ,• ?J f-?,-?: /S-[. iS-L
Ceilias -G !?? , Y/:g
Rl
indowa and Doors--Cnetia ge and Area
No. ldt6
et yaa• Hslihl
of Oaw a et
Ilgbta Lleeal tt.
ot eruk Arw
q. lL
q 41 .2 21 7 0 9
Coef.
In6ltration ?
-pq
S 9
Clau G O D 4' {
Esp. wall I 41- - t, x Q?
Net esp. waU 1$7 r '7 ? G
hA-W44 /54
Ceiling tj- I - > a
Tatal Bcu. f? N Taal &u. Sd
Reqnired sq. ft. ED.R. or aq. inL'W.A. Leader area Required sq. k. EDR or sq. ms. WA Lreader uea
---
---
-
. y,v„t Rom fung& ? ? -IWKM Heigh
t ? Fl.? ? ? ?,.,?? `- ?v?, .? ? ??? ?
?/iadows and Doon-Gackage aad Area Window? and Doorr-?Crackage and Area
Na W Idt6
of yano N?isht
a[ prn• No. ot
1lLb4 Ltasal !t.
of eracY Am
p. !G tdcr
Ot pane BwLt
it aaM a e[
(fthL L1nsa1 tt.
of craek ?rM
p. tt.
! ? o y ?
Coef. Btu Coef. Beu
Inutraaon 'y qj ;? JD le ' Infiltration
Glm ? ?1 O / O GIRa
Exp. wap ?- .2,p Esp. wail it,t • 9
Net aQs. w,?n 111, / Net szp. wa11 4L10
kh-w&- I f ? ? 8 L b Y ?U Gc?? rr, +. )30
?eiliag LJ Q t:eiling
'j'?evr---' ?'•
i, Tota1 &w Tatal &u.
r Reqaired p. h E.DR or sq. iu. WJI. Leader area Required s4. fi. ED.R or sq. ins. w.A. Leackr irra
?
su
ALCULATIONS R
Glit&
wn I Refeteau I Dut. Wall
POMINGTON, MINNESOTA 55431
Comtruction No.
.u reaaag Roof Fl??
?
No. Wfdt1+
of Dane HcitAt
of Dane No. o!
light• Llneal [l.
et enck Area
p. 1t.
b (i
Coaf. Btu
In5lcraeion 3 9 ? q 9I
Glasi s? L SO / o0
F.xp. wall f- L l x .262.9
^ net esp. wafl
Floor
Required aq. ft. E.D.R. or sq. ins. WA. [.eader arca I
3 •? 844cn+en+ Room Len6th .?D Width It., Heightg
. Windowa and Doorr-Cracluge aad Area
o. Wldth
of pans HNght
of pae•
1
No. o[
flgsto
Lfneal it.
of erack
Ana
p, ft.
1 ? q -DL O
Coef. Bn,
Infiltration p y 4l O
Clats i p (o p
Exp. w.tt v+ r
. Net esp. wall 7
Ce4ing
Floor .
Total Btu. p
Rearuired so. ft. E.D.R. or w. ioa. W.A. Leader area
Iio. fAtA
of pan• He1ffAt
of pane No, o!
IfgAts Ltneu ft.
et eraolc wna
p. tt.
Coef. &u
lnbltratioa
Cdui
Fsp. wall / D
Net ap. wall 7 11,20
?-
Floor ^ y r ? QCo ?' ? 7 7
TION
w m%aows ana Vnors-a.racu ge aaa nrca
No. Wldth
of pane HNght
et paae Ma of
IIgLts Llneal !t.
ef cnek Area
sV, fl•
Coef. &n
InGltration
Glus
Fap. wal!
Nd esp. wall
int, waU
Ceiliag
Floor
Ifa Wldth
e! paaa ReIS e
K paee !ta of
Ilsbts Lleal tt.
et eruY Arw
p. !t.
Coef. Btn
infiltratioa
Cdaa
EYp. wall
Net esp. wall
InL rrall
Ceiling
Floor ?
Btu. ' Total Bta
red sq. h. E.D.R. or Sq. iaL VA. Lesder aru ? 8 9 a Required p. k. E.D.R. of ap. inr. WA. Leader ares
.,:__,.:...?? :...? .__ , _. ,:::.,., _. .._.... _?._ ?_. . . r...,...,?...:.?._.?._.
LOT: _ 19 BLOCK: SUBD./P.I.D#:EX nx c:C,ka"& '.P' Q-f'I"
0
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ----A
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 C)6
New Construction Reauirements Remodel/Reoair Reauirements
? 3 regfsfered site surveys showing sq. H. of lot, sq. R. ot house 2 copies of plan
and all roofed areas (20%, maximum lot coveraae allowed) 1 sei of energy calculattons for heoted addffions
? 2 copies of plans (show beam 8 window sizes; poured fnd. deslgn; etc.) 7 sfle survey for exterior addltlons & decks
? 1 sef of energy calculations
? 3 copies of free preservation plan ff lot plafted affer 7/1/93
? Rlm Jolst Detall Options selecfion sheet (buildinas wffh 3 or less unksl
DATE: Z ?" - 00 CQNSTRUGTION COST:
COnV6f t;V1rl rDOm ?}o?tiL=ifC
DESCRIPTION OF WORK: c t s,.?e? ?d If muHi-family bldg., how many units?
STREETADDRESS:_ I 5-(
?, 4 lY-SN23?rr2L, ???CC
?
Nome: I2-14y+yr13en ??"A.i /Q2riN Phone #: G S/ - 4 S4*4uo 6
PROPERTY last First
OWNER
Sfreet Address: 15~64 43 N8 u?z-7 OC_A cc-
City Lh t State: 117A( Zip: 5 5%Z Z
Company: S?? r= Phone #:
(area eode)
CONTRACTOR
Street Address: License # Exp.
City State: Iip:
ARCHRECT/
ENGINEER
Name:
Telephone #: (
Sfreet Address: Regiskaifon #:
CNy
Sfate:
Zlp:
Sewer/water licensed plumber (if installina sewerlwater): Phone #:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Applicant `('Lka?V L
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-ptex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) 0 36 Multi
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
O 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bldg)' 0 44 Siding
? 34 Replacement ? 38 Demolish (Interior)
` Demol ition (Entire Bldg only) permit - Gi ve PCA handout to applicant
fi
VALUATION
2S Occupancy MC/ES System
Census Code L! 3'-1 Zoning City water
SAC Units Stories Booster Pump
Nbr. of Units U Sq. Ft. PRV
Nbr. of Bldgs t Length Fire Sprinklered
Type of Const Width
INSPECTIONS REQUIRED
_ Footings: New Bldg _ Insulation _ Windows-new/replacement
_ Footings: Deck _ FinaUC.O. _ Siding
_ Footings: Addition ? FinaUNo C.O. _ Stucco/Stone
Foundation Fireplace: r.i. air test fmal Roof: ice & water _ fmal
-j<?Framing Pool: _ ftgs _ air/gas tesu _ fmal
APPROVALS
Planning
--------- - --- - - - ----------------- Building ?
------------- ----------- - Engineering
- -------------------------------- - Variance
-------------------- - ----- - -
Base Fee 3C)
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies ?
Other
Total: 211-1? C)
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170869
Date Issued:07/20/2021
Permit Category:ePermit
Site Address: 1564 Ashbury Ct
Lot:12 Block: 2 Addition: Blackhawk Glen 2nd
PID:10-14351-02-120
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Peter Carey-linskey
1564 Ashbury Ct
Eagan MN 55122
(612) 382-9510
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature